Leo Michael Albano, PT
Individual provider Active NPI Physical Therapist · Mt Pleasant, SC
NPI 1356424345 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1356424345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2818 (SC)
- Practice address
- 1476 Long Grove Dr
Suite 1
Mt Pleasant, SC 29464-7571 - Phone
- (843) 216-3534
- Fax
- (843) 216-3576
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Olympic Physical Therapy LLC
Practice addresses (Care Compare)
1476 Long Grove Dr
Mount Pleasant, SC 29464-7571
Phone (843) 216-3534
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022000105 | SC | Practitioner - Physical Therapist in Private Practice | 2264492883 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1476 Long Grove Dr
Mt Pleasant, SC 29464
Phone (843) 216-3534
1476 Long Grove Dr
Ste 1
Mt Pleasant, SC 29464
Phone (843) 216-3534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2818 | SC | Yes |
Addresses
Primary practice location
1476 Long Grove Dr
Suite 1
Mt Pleasant, SC 29464-7571
Mailing address
1476 Long Grove Dr
Ste 1
Mt Pleasant, SC 29464-7571
Other providers in Mt Pleasant, SC
- Raj Ahluwalia
- Samantha Byrd Akyeampong
- Al Ivester,DMD,PA
- Jenna Catherine Alas
- Sahar Alavi
- Wendy Linder Albano
- Stacy L Albarran
- Brittany B. Albright
- John Robert Alexander Jr.
- Laura Alexander
All providers in Mt Pleasant, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.